HomeMy WebLinkAbout2002-HVAC (air conditioner) CITY OF OSHKOSH No 95036
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 211 S LARK ST Owner DONALD K/DOREEN MAYER
....... .......... Create Date 06/11/2002
Contractor STEINBRUNER HEATING&COOLING Category 501 -Residential-Air Conditioning.............. Plan
Fuel E—Jec-tric oi—
System New ------- Replace I j Other
Forced Air D [.7-Radiant Steam— ✓ FV�ent -
L_� IfledrTc—] LJHL_ct kkirr_ Suppl.---------
Direct Vent "_ __&_N6tAppIic_a_1iIe___]
eyA ___ eyff ?7_Dim
Chimney Type L
As Approved
Heat Loss ') Exi$6 o p Existing_. ...KApi Iicable Value 0
BTU Rate _=,Va`ria1�Ie her Value 3T a/c
Use/Nature Reclaim�regngera_nt-&—install—CK'L"'3-6-"("-out—si-"de, unit—only). *'ff I-V—form from_S&eckj_r Electric.'
of Work
-----
Fees: Valuation $1,200.00 Plan Approval $0�00
.............. Permit Fee Paid $23�00
Issued By: 12—K-\
Date 06./11/2002
Lj Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920)426-1830
03/25/1995 01:25 14144261890 STEINBRUNER HEATING: PAGE 03
City of Oshkosh
Division of Inspection Se ices
P.O. Box 1130
Oshkosh,WI 54903-1130
Phant(920)236-5050 .......
Fax (920)236-5084 O��H
ON THTWATF2
HVAC PERMIT APPLICATION
All infonnation after bold categories must be provide -
Incomplete applications will not be processed.
8 Application(s)and f.-e(s)can be brought to City Hall.Room 205 or mailed to Impection Services.PO Box 1128,
OshkoshWl 54903-1128. Commencing work without ptrmit(s)will result in fees in doubled or$100-00 plus the
normal permit fee,which ever is greater.
OR
rase ere a con tici tine iq rho Permir fee Arcay-qf 53,sfern and
Lra=j:,���L —
LfjLqu want jfar LRrqcejrsed rhrough your accouni
))ATE /0'0
JOB ADDRESS_
OWNER
CONTRACTOR 4e i r)hrm rugr-
-CTOR
CHECK 0 ALL APP ICA)BLE
51 1
US CATEGORY
7 Wingle 7Family Duplex OMulfi-Family 0111crital Elcommercial Qlndustn'al
FUEL DGRS Virlecti-ic 12Soli d SYSTEM EINEw &6eplace
it 13Solar ft r
TYPE
OForced Air EIRadiant ElStearri 8/6 []Veal OElectric DHol Water 05uppl.E]Con.Burner
IS CHTNINIEV BEING LINED No DYes - LINER SIZE__& MA AC
All chimneys shall I e sized per the BT .%U' being vented,
CMMNEY TYPE ElChirriney A OChimney B Eldirect Vent 113ter
WEAT LOSS OAs Approved 0EXisting ONot Applicable
BTU RATE CAs Per Plan OVariable Mother Value ow�
DESCRIPTION OFA L WORK BEING DONE
VALUE(including labor and all materiOg including light fixtures)S
ELECTRICAL CONTRACTOR —5g%.tAX— gR X Electric Installation VefflcatiGn form 21tachedor Repiacemem)
equepmeal shall tie d6ne din ficrAsed ConfMclor'k
3102
03/25/1995 01:25 14144261890 STEINBRUNER HEATING: PAGE 04
City fOsh)ko&h
Divis nor Irapecdon smices
20 humb AV"UO
POD A Mo
oshk sh W1$4902-1130
offit 92ti-256-Wo
a"TKE%%TEA Fax 20.23&SOila
Electric lastallation Verification
e—
M(W C)
(Electrical Contractor Name)
Iz—,ocoomev rwlj'Awee let>
(Address) (City) (Stato (Zip Code)
have been contracted to peiforin electric installation work for 0
(Name of patty contracted to)
at the following address. t
(Address where work will be perfoir.ned)
(Clj tck 0 ie or Describe the Nature oflvork-)
Roconnection or new circuit for replacement Heating Plar t and/or A/C Condenser,
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, Iterations to receptacles and
lighting fixtures due to siding/soffit installation. No le; New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired;ippliances/fixtures.
Other
The value of this work is
I hercby verify th s work will be performed by art employee of this company and further verify the
reconnection /in tallation will be done in compliance with manufacturet and Electric code
requirements-
b-%
(Signature at Cot)party Officer) (Print Name ofOfficer l (Date)